NPI | 1548377401 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD RAY BERGES President/Medical Director 641-684-7744 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IA 02659) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2020-08-22 |